Health Economics Manager

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $133.6k - $200.4k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

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Medtronic

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1949

⚕️ Healthcare Insurance

Healthcare Insurance • Medical Devices

Medtronic is a global leader in healthcare technology solutions, working to address the most complex and challenging medical conditions. With over 95,000 employees in more than 150 countries, the company is focused on accelerating access to healthcare technologies and advancing inclusion, diversity, and equity in healthcare. Medtronic collaborates closely with healthcare professionals to innovate and optimize treatments and therapies, thus inspiring hope and new possibilities for patients worldwide. The company's commitment to healthcare extends to its focus on impactful solutions and sustainable practices.

📋 Description

• Provide input and assist in developing reimbursement materials and tools for customers (Physicians, Coding Staff, Administrators, etc.) and the field sales team. • Identify educational needs of priority accounts and use approved Medtronic tools to deliver relevant training and education on coding, billing, and reimbursement. • Develop a monthly report of provider activities, including regional trends and developments, to support quarterly updates to Senior Leadership. • Develop and implement reimbursement strategies and tactics aligned with Sales leadership to minimize or remove coding, coverage, and payment barriers for Medtronic products and therapies. • Serve as the primary field-based expert for reimbursement, coding, and coverage. • Educate administrators, billing managers, and healthcare providers on the correct use of HCPCS, CPT, ICD-10 codes, modifiers, and documentation requirements. • Support customers in navigating Medicare, Medicaid, and commercial payer coverage policies and prior-authorization requirements. • Provide one-on-one and group training on prior authorization, claim submission, appeals, and payment processes. • Identify, triage, and resolve access barriers in collaboration with internal reimbursement support teams. • Identify key issues and trends with commercial and government payers; determine and implement appropriate solutions. • Conduct webinars for new and existing customers (frequency based on customer need) and track/report attendance. • Collaborate with Sales, Marketing, Medical Affairs, and Compliance teams to ensure a seamless customer experience and compliance. • Deliver in-person and virtual reimbursement workshops and policy update sessions.

🎯 Requirements

• Bachelor’s degree required. • Minimum of 7 years of relevant experience, or an advanced degree with a minimum of 5 years of relevant experience with medical device coding, coverage, and payment (reimbursement). • Master’s Degree in business, healthcare, health policy, or related field (Nice to Have). • Work experience directly related to the payer or healthcare provider decision makers (C-suite, administration, director-level) physicians, private practice managers. • Experience developing and implementing strategic relationships and concepts with key influencers, utilizing business and financial measures with economic modeling. • Experience creating and giving presentations. • Experience in effectively influencing and selling. • Knowledge and/or experience negotiating payer/provider contracts. • Experience building strong cross-functional partners. • For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required.

🏖️ Benefits

• Health, Dental and vision insurance • Health Savings Account • Healthcare Flexible Spending Account • Life insurance • Long-term disability leave • Dependent daycare spending account • Tuition assistance/reimbursement • Simple Steps (global well-being program) • Incentive plans • 401(k) plan plus employer contribution and match • Short-term disability • Paid time off • Paid holidays • Employee Stock Purchase Plan • Employee Assistance Program • Non-qualified Retirement Plan Supplement (subject to IRS earning minimums) • Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)